Organization Active NPI

Fairview Care Center - East, Inc.

Doing business as Fairview Care Center - East

  • Nursing Facility/Intermediate Care Facility
  • Salt Lake City, UT
National Provider Identifier
1174520472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2005-NCF-107 Issued in UT
Legal business name
FAIRVIEW CARE CENTER - EAST, INC.
Doing business as
Fairview Care Center - East
Practice address
455 S 900 E
Salt Lake City, UT 84102-2933
Phone
(801) 355-6891
Fax
(801) 521-5248
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Ray Burton
Title
Ceo
Phone
(801) 355-6891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2005-NCF-107 UT Primary

Addresses

Primary practice location

455 S 900 E
Salt Lake City, UT 84102-2933

Mailing address

455 S 900 E
Salt Lake City, UT 84102-2933
Phone (801) 355-6891

Other names 1

  • FAIRVIEW CARE CENTER - EAST Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174520472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022933",
            "telephone_number": "801-355-6891",
            "fax_number": "801-521-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022933",
            "telephone_number": "801-355-6891",
            "fax_number": "801-521-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CARE CENTER - EAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-355-6891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "UT",
            "license": "2005-NCF-107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRVIEW CARE CENTER - EAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.